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California rates for HCPCS J3410

Injection, hydroxyzine HCl, up to 25 mg

Facilitymedian $21 · 10th–90th $14$850%10%20%10th90th$21Professionalmedian $13 · 10th–90th $12$280%50%10th90th$13$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $28.84 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $12.88 / $27.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $16.60 / $21.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $13.49 / $32.36
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $19.50 / $25.70
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $16.60 / $35.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $26.30 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $15.49 / $29.51
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $12.30
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $22.91 / $36.31
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $16.60
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $13.80
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $16.60 / $25.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $21.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $32.36